Thomas Hospitals
4605 Maccorkle Ave SW, South Charleston, WV · Wvumedicine · · NPI 1801338850
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44369 | $1,240.34 | $2,480.67 | $205.80 – $9,270.05 | 20 |
| Small bowel endoscopy CPT 44382 | $1,963.00 | $3,926.00 | $205.80 – $4,381.58 | 20 |
| Small bowel endoscopy/biopsy CPT 44361 | $1,348.00 | $2,696.00 | $205.80 – $9,270.05 | 20 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $35.00 | $70.00 | $5.09 – $27.28 | 20 |
| Smear gram stain CPT 87205 | $23.00 | $46.00 | $4.03 – $21.61 | 20 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $22.50 | $45.00 | $5.66 – $30.31 | 20 |
| Smear wet mount CPT 87210 | $24.00 | $48.00 | $5.50 – $29.45 | 20 |
| Snrpn/ube3a gene CPT 81331 | $178.00 | $356.00 | $48.26 – $258.46 | 20 |
| Sodium 24 hour urine CPT 84300 | $29.50 | $59.00 | $4.78 – $25.61 | 20 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $120.00 | $240.00 | $4.44 – $4.44 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $89.50 | $179.00 | $2.23 – $2.23 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $36.05 | $72.09 | $3.91 – $3.91 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $534.00 | $1,068.00 | $120.62 – $120.62 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $31.50 | $63.00 | $4.55 – $24.34 | 20 |
| Somatosensory testing CPT 95927 | $350.50 | $701.00 | $20.08 – $1,043.15 | 20 |
| Sp bone agrft morsel add-on CPT 20937 | $5,905.81 | $11,811.62 | $154.73 – $783.07 | 20 |
| Sp bone agrft struct add-on CPT 20938 | $4,156.83 | $8,313.66 | $172.82 – $874.62 | 20 |
| Sp bone algrft morsel add-on CPT 20930 | $2,082.50 | $4,165.00 | not published | 0 |
| Special physics consult CPT 77370 | $419.00 | $838.00 | $101.65 – $649.31 | 20 |
| Special radiation dosimetry CPT 77331 | $368.00 | $736.00 | $34.23 – $649.31 | 20 |
| Special radiation treatment CPT 77470 | $1,199.00 | $2,398.00 | $80.04 – $2,669.27 | 20 |
| Special supplies phys/qhp CPT 99070 | $10.00 | $20.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $742.00 | $1,484.00 | $37.32 – $1,808.82 | 20 |
| Specific gravity body fluid CPT 84315 | $5.50 | $11.00 | $3.10 – $16.60 | 20 |
| Speech audiometry complete CPT 92556 | $67.00 | $134.00 | $31.40 – $284.98 | 20 |
| Spinal bone allograftstructural 20931 CPT 20931 | $3,273.80 | $6,547.60 | $104.11 – $526.89 | 20 |
| Spinal bone autograftlocal 20936 CPT 20936 | $4,552.33 | $9,104.66 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,457.50 | $2,915.00 | $205.80 – $3,410.03 | 20 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $590.50 | $1,181.00 | $7.47 – $1,802.69 | 20 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $240.50 | $481.00 | $480.66 – $2,432.57 | 13 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,117.50 | $8,235.00 | $205.80 – $17,119.41 | 20 |
| Split blood or products CPT 86985 | $458.50 | $917.00 | $23.24 – $823.05 | 20 |
| Sputum specimen collection CPT 89220 | $261.00 | $522.00 | not published | 0 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $4,765.50 | $9,531.00 | $4,146.33 – $20,984.16 | 14 |
| Srs linear based CPT 77372 | $11,365.50 | $22,731.00 | $622.55 – $35,581.06 | 20 |
| Srs multisource CPT 77371 | $11,366.00 | $22,732.00 | $7,030.58 – $35,581.06 | 13 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $330.00 | $660.00 | $80.81 – $527.19 | 20 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $364.00 | $728.00 | $75.15 – $493.89 | 20 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $48,131.00 | $96,262.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $21,994.00 | $43,988.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $443.90 | $887.80 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $4,500.00 | $9,000.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $37,412.00 | $74,824.00 | not published | 0 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $1,713.00 | $3,426.00 | not published | 0 |
| Stent placemt retro carotid CPT 37217 | $4,367.50 | $8,735.00 | $205.80 – $5,223.86 | 20 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $13,873.00 | $27,746.00 | not published | 0 |
| Sterile needle HCPCS A4215 | $500.00 | $1,000.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $211.50 | $423.00 | $82.10 – $538.43 | 20 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $451.00 | $902.00 | $168.05 – $1,081.92 | 20 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $201.00 | $402.00 | $66.40 – $436.25 | 20 |
| St evaluation swallow function CPT 92610 | $169.50 | $339.00 | $52.25 – $402.85 | 20 |
| Stimulants synthetic CPT 80371 | $18.50 | $37.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $35.50 | $71.00 | $15.89 – $85.07 | 20 |
| Strep b dna amp probe CPT 87653 | $56.50 | $113.00 | $33.16 – $177.59 | 20 |
| Stress test pulmonary CPT 94618 | $197.50 | $395.00 | $16.47 – $642.73 | 20 |
| Stress tte complete CPT 93351 | $706.50 | $1,413.00 | $60.48 – $2,639.66 | 20 |
| Str markers specimen anal CPT 81265 | $751.50 | $1,503.00 | $220.25 – $1,179.54 | 20 |
| St treatment speech individual CPT 92507 | $180.50 | $361.00 | $56.36 – $364.64 | 20 |
| St treatment swallow dysfunction/oral CPT 92526 | $196.00 | $392.00 | $62.02 – $400.77 | 20 |
| Subq njx filling matrl 1cc/< CPT 11950 | $229.00 | $458.00 | $39.64 – $969.26 | 20 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.53 | $15.05 | $2.87 – $2.87 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | $33,812.50 | $67,625.00 | $5,074.02 – $25,679.11 | 13 |
| Sugars single quant CPT 84378 | $107.00 | $214.00 | $10.90 – $58.35 | 20 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $354.50 | $709.00 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $110.00 | $220.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $12.50 | $25.00 | $16.78 – $16.78 | 1 |
| Supprelin la implant HCPCS J9226 | $75,271.50 | $150,543.00 | $37,491.97 – $189,743.11 | 14 |
| Surg dx exam anorectal CPT 45990 | $6,678.00 | $13,356.00 | $205.80 – $13,408.96 | 20 |
| Surgical pathology level 1 gross examination only CPT 88300 | $148.50 | $297.00 | $27.61 – $139.73 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $298.00 | $596.00 | $35.65 – $180.42 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $467.00 | $934.00 | $49.75 – $251.78 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $697.50 | $1,395.00 | $49.75 – $251.78 | 13 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $2,001.00 | $4,002.00 | $342.16 – $1,731.64 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $2,099.50 | $4,199.00 | $769.06 – $3,892.14 | 13 |
| Susceptibility agar dilution per agent CPT 87181 | $35.00 | $70.00 | $4.49 – $24.04 | 20 |
| Susceptibility mic per plate CPT 87186 | $462.00 | $924.00 | $8.18 – $43.78 | 20 |
| Suscept studies macrobroth dilution ea CPT 87188 | $350.00 | $700.00 | $6.28 – $33.60 | 20 |
| Suspension of testis CPT 54620 | $13,928.00 | $27,856.00 | $3,364.79 – $17,028.87 | 13 |
| Svc venogram s&i CPT 75827 | $2,840.50 | $5,681.00 | $40.67 – $7,604.61 | 20 |
| Synvisc or synvisc-one HCPCS J7325 | $2,976.00 | $5,952.00 | $6.02 – $30.47 | 14 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $26.50 | $53.00 | $4.16 – $22.27 | 20 |
| System pacing micra av HCPCS C1786 | $4,380.00 | $8,760.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $4,856.50 | $9,713.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $109.50 | $219.00 | $16.01 – $85.73 | 20 |
| T3 (triiodothyronine) total CPT 84480 | $90.50 | $181.00 | $13.40 – $71.76 | 20 |
| T4 (thyroxine) free CPT 84439 | $54.50 | $109.00 | $8.53 – $45.65 | 20 |
| T4 (thyroxine) total CPT 84436 | $44.00 | $88.00 | $6.49 – $34.77 | 20 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.50 | $7.00 | $2.85 – $2.85 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $17.35 | $34.70 | $0.40 – $0.40 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $87.50 | $175.00 | $12.98 – $69.49 | 20 |
| Tap block bilat cont infusion 64489 CPT 64489 | $3,794.50 | $7,589.00 | $71.83 – $363.52 | 20 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,383.50 | $2,767.00 | $56.78 – $287.36 | 20 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,600.00 | $5,200.00 | $717.76 – $3,843.91 | 20 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $6,316.50 | $12,633.00 | $2,759.02 – $14,775.80 | 20 |
| Target gsa panel organ neop CPT 81445 | $1,242.00 | $2,484.00 | $565.03 – $3,025.96 | 20 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $840.00 | $1,680.00 | $98.56 – $3,570.41 | 20 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $139.00 | $278.00 | $94.50 – $506.09 | 20 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $414.00 | $828.00 | $58.57 – $313.67 | 20 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,634.00 | $11,268.00 | $934.13 – $4,727.54 | 14 |
| Tc-99m exametazime diag HCPCS A9521 | $1,870.00 | $3,740.00 | $2,592.27 – $2,592.27 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.